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Rivastigmine (ri-va-STIG-meen) is a drug most commonly used to treat the
symptoms of Alzheimer's disease.
Before taking this medication, be sure that the physician is aware if you
have: kidney problems; liver problems; heart disease; bladder obstruction;
stomach ulcers; epilepsy or seizures; asthma or COPD; planned surgery; or
if you take other drugs, or smoke.
This medication should be used exactly as prescribed by the physician. It
is taken every day for best results. Do not stop taking it suddenly;
consult your physician if you wish to stop taking it.
Remove any previous patch and discard it by folding it in half with the
adhesive sides together and discard it safely, since it still contains
active drug. Apply the new patch to the upper or lower back, the upper arms
or chest. The skin should be healthy, with no creams or powder that could
interfere with the ability of the patch to adhere. Change the site of
application daily, not repeating the same site for 14 days. Wash your hands
afterwards. Apply a new patch once a day around the same time of day.
Bathing or swimming are fine, but avoid prolonged exposure of the patch to
heat. If the patch falls off, apply a new patch for the rest of the day,
and then replace it at the usual time of day.
Don't take a double dose to make up for a missed one.
If a few days of therapy are missed, contact your physician to find out how
to restart the medication.
This medication can interact with other medications. Inform your physician
and pharmacist of all other medications that you are taking.
Side effects are usually mild and temporary. Tell your physician if you
develop any unexpected or serious effects after starting this medication,
especially weight loss, worsening of your condition, black stools, stomach
pain, or falls.
If you have experienced an unexpected or serious reaction to this drug,
this can be reported to Health Canada's monitoring program (tollfree
telephone 1-866-234-2345, tollfree fax 1-866-678-6789). Note that this is
not an emergency number.
Store this drug in its original container, at room temperature away from
heat, light and moisture, and out of the reach of children.
